| NPI | 1831844414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN MARIE REIKOWSKI MOORE Therapist/Owner 952-237-7513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-13 |
| Last Update Date | 2022-02-13 |